---
type: "Bill"
title: "TO AUTHORIZE OFF-LABEL USE OF DRUG TREATMENTS TO TREAT MEDICAID BENEFICIARIES WITH PEDIATRIC ACUTE-ONSET NEUROPSYCHIATRIC SYNDROME AND PEDIATRIC AUTOIMMUNE NEUROPSYCHIATRIC DISORDERS ASSOCIATED WITH STREPTOCOCCAL INFECTION."
description: "TO AUTHORIZE OFF-LABEL USE OF DRUG TREATMENTS TO TREAT MEDICAID BENEFICIARIES WITH PEDIATRIC ACUTE-ONSET NEUROPSYCHIATRIC SYNDROME AND PEDIATRIC AUTOIMMUNE NEUROPSYCHIATRIC DISORDERS ASSOCIATED WITH STREPTOCOCCAL INFECTION."
jurisdiction: "us/states/ar"
legislature: "Arkansas Legislature"
session: "2021"
identifier: "SB 387"
citation: "Arkansas SB 387 (2021)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["K. Hammer", "Warren"]
version_count: 2
action_count: 19
vote_count: 2
first_action: "2021-02-24T19:01:41+00:00"
last_action: "2021-04-13T15:33:57+00:00"
source: "openstates"
source_identifier: "ocd-bill/501a1f1e-0b78-4007-9d3e-16b6cafa9e4a"
source_url: "ftp://www.arkleg.state.ar.us/SessionInformation/LegislativeMeasures.txt"
source_hash: "68db5900a8be3f7b6b5912c73d6703eb8f381e4c9d90cbb63fdc4a3d3f81ebf0"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-ar"]
---

# Arkansas SB 387 (2021) — TO AUTHORIZE OFF-LABEL USE OF DRUG TREATMENTS TO TREAT MEDICAID BENEFICIARIES WITH PEDIATRIC ACUTE-ONSET NEUROPSYCHIATRIC SYNDROME AND PEDIATRIC AUTOIMMUNE NEUROPSYCHIATRIC DISORDERS ASSOCIATED WITH STREPTOCOCCAL INFECTION.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Amendment S1** (committee substitute) — [source](http://www.arkleg.state.ar.us/Bills/FTPDocument?path=%2FAMEND%2F2021R%2FPublic%2FSB387-S1.pdf)
2. **SB 387** (committee substitute) — [source](ftp://www.arkleg.state.ar.us/Bills/2021R/Public/Searchable/SB387.pdf)

## Votes

- Read the third time and passed and ordered transmitted to the Senate. — **94–0** (pass) · lower
- Read the third time and passed. — **35–0** (pass) · upper

## Sponsors

- K. Hammer — primary (person)
- Warren — primary (person)
- Cloud — cosponsor (person)
- Irvin — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2021-02-24T19:01:41+00:00** Filed `introduction`
- **2021-02-24T21:39:25+00:00** Read first time, rules suspended, read second time, referred to PUBLIC HEALTH, WELFARE AND LABOR COMMITTEE - SENATE `reading-1, referral-committee`
- **2021-03-09T15:02:07+00:00** Withdrawn from Committee for purpose of amendment # 1
- **2021-03-09T15:02:14+00:00** Amendment # 1 read the first time, rules suspended, read the second time and adopted, ordered engrossed.
- **2021-03-09T19:10:35+00:00** REPORTED CORRECTLY ENGROSSED
- **2021-03-09T19:10:50+00:00** Re-referred to PUBLIC HEALTH, WELFARE AND LABOR COMMITTEE - SENATE `referral-committee`
- **2021-03-11T00:05:19+00:00** Returned by the Committee, with the recommendation that it Do Pass `committee-passage-favorable`
- **2021-03-11T19:57:41+00:00** Read the third time and passed. `passage, reading-3`
- **2021-03-11T19:57:54+00:00** Ordered immediately transmitted to the House.
- **2021-03-11T23:24:41+00:00** RECEIVED FROM THE SENATE
- **2021-03-11T23:39:58+00:00** Read the first time, rules suspended, read the second time and referred to the Committee on PUBLIC HEALTH, WELFARE AND LABOR COMMITTEE- HOUSE `reading-1, reading-2, referral-committee`
- **2021-04-01T19:01:50+00:00** Returned by the Committee Do Pass `committee-passage`
- **2021-04-06T19:37:51+00:00** Read the third time and passed and ordered transmitted to the Senate. `passage, reading-3`
- **2021-04-06T19:37:57+00:00** Returned To the Senate as passed.
- **2021-04-06T22:19:48+00:00** Returned from the House as passed.
- **2021-04-06T22:19:54+00:00** ORDERED ENROLLED
- **2021-04-07T15:42:37+00:00** Reported correctly enrolled and ordered delivered to the Governor.
- **2021-04-07T15:42:44+00:00** DELIVERED TO GOVERNOR. `executive-receipt`
- **2021-04-13T15:33:57+00:00** Notification that SB387 is now Act 637 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/501a1f1e-0b78-4007-9d3e-16b6cafa9e4a`. Confidence: reported (aggregated from official Arkansas legislature records).